Blood in Stool: Causes and When to Seek Help

Blood in the stool?

Hello, recently due to working on my thesis, I have been sitting for longer periods than usual.
About a week ago, I noticed a significant amount of bright red blood in my stool for the first time.
At that time, I applied hemorrhoid cream and felt noticeable pain from the hemorrhoids.
After a bowel movement, the bleeding would stop as long as the anal sphincter remained closed.
However, after continuously applying the cream for a week, there has been no improvement.
The bleeding has changed to a constant drip, and it is still bright red blood.
What could be the cause of this?

Mr. Yang, 20~29 year old female. Ask Date: 2015/12/29

Dr. Li Qinglong reply Surgery

Hello, your current condition is most likely due to internal hemorrhoidal bleeding.
Please consult with a general surgeon or a colorectal specialist.

Reply Date: 2015/12/29

More Info

Blood in stool can be a concerning symptom, and it is important to understand its potential causes and when to seek medical help. In your case, the presence of bright red blood in your stool, especially if it is accompanied by pain and a history of using hemorrhoid cream, suggests that you may be dealing with hemorrhoids or anal fissures. These conditions are quite common and can cause bleeding, particularly during bowel movements.

Hemorrhoids are swollen veins in the lower rectum or anus that can become inflamed and bleed, especially if there is straining during bowel movements. Anal fissures, on the other hand, are small tears in the lining of the anus that can also lead to pain and bleeding. The bright red color of the blood typically indicates that the source of the bleeding is in the lower gastrointestinal tract, as opposed to darker blood, which may suggest a source higher up in the digestive system.

Given that you have been experiencing this issue for over a week without improvement, it is advisable to seek medical attention. A healthcare professional can perform a physical examination to determine the exact cause of the bleeding. They may recommend treatments such as dietary changes to increase fiber intake, topical treatments, or in some cases, procedures to address more severe hemorrhoids or fissures.

While hemorrhoids and fissures are common causes of rectal bleeding, it is essential to rule out other potential causes, especially if the bleeding persists or worsens. Other possible causes of blood in the stool can include diverticular disease, colorectal polyps, or even more serious conditions such as colorectal cancer. Therefore, if you notice any of the following symptoms, you should seek medical help promptly:
1. Persistent Bleeding: If the bleeding does not stop or continues to worsen.

2. Changes in Bowel Habits: Such as diarrhea or constipation that lasts for more than a few days.

3. Abdominal Pain: Severe or worsening abdominal pain that accompanies the bleeding.

4. Weight Loss: Unexplained weight loss can be a sign of a more serious condition.

5. Anemia Symptoms: Such as fatigue, weakness, or pale skin, which could indicate significant blood loss.

In summary, while your symptoms may be related to hemorrhoids or anal fissures, it is crucial to consult a healthcare provider for a proper diagnosis and treatment plan. They can help ensure that any serious conditions are ruled out and provide you with the appropriate care to alleviate your symptoms. Remember, early intervention is key to managing health issues effectively.

Similar Q&A

Understanding Blood in Stool: Causes and When to Seek Help

Finding blood in your stool, especially if it is not bright red, can be indicative of several potential issues. It may suggest the presence of conditions such as hemorrhoids, diverticular disease, inflammatory bowel disease (IBD), or even more serious conditions like colorectal c...

Dr. Ke Fangxu reply Surgery
If the stool is dark red, it does not necessarily indicate bleeding. To determine whether it is bleeding, a stool test is required. At the age of 23, it is mostly likely hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended ...

Understanding Blood in Stool: Causes and When to Seek Help

Hello, doctor. I am a 19-year-old college student. Recently, I have been experiencing blood in my stool frequently, sometimes a lot, resembling urine in flow, and at other times just a small amount on the toilet paper. Sometimes I see blood during bowel movements, and sometimes I...

Dr. Su Baojia reply Gastroenterology and Hepatology
If there is blood in the stool and significant bleeding, it is important to see a gastroenterologist for an examination as soon as possible. The causes may include hemorrhoids, colorectal cancer, or colonic ulcers, among others, and should not be taken lightly. Otherwise, it coul...

Understanding Blood in Stool: Causes and When to Seek Help

Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I had a stool test done ...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...

Blood in Stool: What You Need to Know and Do

Dear Doctor, Yesterday, I noticed blood in my stool and also found blood on the toilet paper after wiping. Could you please advise me on how to proceed? I would be very grateful.

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the presence of blood in the stool may be caused by hemorrhoids, anal fissures, inflammatory bowel disease, tumors, polyps, or diverticular bleeding, with hemorrhoidal bleeding being the most common. It is advisable to consume more fruits, vegetables, and fluids to maintai...